Financial Care Counselor - Duke Neurology South Durham
Duke University Health System
Location: Durham, North Carolina
Admin / Clerical
Internal Number: 232048
PRMO Established in 2001, Patient Revenue Management Organization (PRMO) is a fully integrated, centralized revenue cycle organization supporting all of Duke Health, including Duke University Hospital, Duke Regional Hospital, Duke Raleigh Hospital, the Private Diagnostic Clinic, and Duke Primary Care. The PRMO focuses on streamlining the revenue cycle through enhanced management of scheduling, registration, coding, HIM operations, billing, collections, cash management, and customer service. The Mission of the PRMO is delivering quality service by enhancing the patient experience, providing financial security, and preserving Dukeâ€™s reputation and mission of advancing health together. Our Vision is to be recognized as a world class innovative revenue cycle organization that values our people, patients and performance.
Duke Neurology South Durham 234 Crooked Creek Parkway, Suite420, Durham, NC
We are seeking a Patient Service Associate for Duke Neurology of South Durham. This role includes participation in a variety of duties associated with daily clinic preparation process, patient identification, patient check in/out, cash management and patient appointment scheduling.
WE INVITE YOU TO APPLY IF:
You seek to deliver outstanding customer service with each and every customer encounter.
You have excellent communication, computer and multi-tasking skills.
You thrive in fast-paced healthcare environment and enjoy working as part of a team.
Accurately complete patient accounts based on departmental protocol, policies and procedures, and compliance with regulatory agencies, to include but not limited to pre-admission, admission, pre-registration and registration functions.
Ensure all insurance requirements are met prior to patients' arrival and inform patients of their financial liability prior to arrival for services.
Arrange payment options with the patients and screens patients for government funding sources.
Analyze insurance coverage and benefits for service to ensure timely.
Obtain authorizations based on insurance plan contracts and guidelines.
Document billing system.
Explain bills provides assistance to visitors and patients.
Explain policies and departmental coverage as requested.
Calculate and according to PRMO credit and collection policies.
Implement appropriate collect cash payments appropriately for all patients.
Reconcile daily necessity of third party sponsorship and process patients in accordance reimbursement.
Obtain all Prior Authorization Certification and/or authorizations as appropriate.
Facilitate payment sources for uninsured patients.
Resolve insurance claim rejections/denials and remedy expediently.
Evaluate diagnose s to ensure compliance with the Local Medicare Review Policy.
Perform those duties necessary to ensure all accounts are processed accurately and efficiently.
Compile departmental statistics for budgetary and reporting purposes.
Examine insurance policies and other third party sponsorship materials for sources of payment.
Update the billing system to reflect the insurance status of the patient.
Refer patients to the Manufacturer Drug program as needed for medications.
Gathers necessary documentation to support p roper handling of inquiries and complaints.
Assist with according to policy and procedure.
Enter and update referrals as required.
Communicate with insurance carriers regarding clinical information requested and to resolve issues relating to coverage. Knowledge, Skills and Abilities
Excellent communication skills, oral and written.
Work requires knowledge of basic grammar and mathematical principles normally required through a high school education, with some postsecondary education preferred. Additional training or working knowledge of related business.
Two years experience working in hospital service access, clinical service access, physician office or billing and collections. Or, an Associate's degree in a healthcare related field and one year of experience working with the public. Or, a Bachelor's degree and one year of experience working with the public.
Degrees, Licensures, Certifications
Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
As a world-class academic and health care system, Duke Health strives to transform medicine and health locally and globally through innovative scientific research, rapid translation of breakthrough discoveries, educating future clinical and scientific leaders, advocating and practicing evidence-based medicine to improve community health, and leading efforts to eliminate health inequalities.